MEDICARE: TASK KIDS INC RICHMOND VA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1235093824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TASK KIDS INC RICHMOND VA

Provider Business Mailing Address
First Line	:	3210 MILL RACE RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23234-3853
Country	:	US
Telephone Number	:	804-988-1150
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 W BROAD ST STE 215
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-5103
Country	:	US
Telephone Number	:	804-988-1150
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIOR THERAPIST
Name	:	MS. MAYA NICOLE MOORE
Credential	:
Telephone Number	:	804-349-4777

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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